Short and long term outcome of laparostomy following intra-abdominal sepsis.
File(s)
Submitted version
Author(s)
Type
Journal Article
Abstract
Aim This study reports the short and long term outcome of laparostomy for intra-abdominal sepsis. Method Twenty nine sequential patients with intra-abdominal sepsis treated with a laparostomy over 6 years were included. Results The median age of the patients was 51 years, postoperative intensive care unit stay was 8 days, postoperative length of hospital stay was 87 days and follow up was 2 years. The expected mortality of 25% was insignificantly different to the observed mortality of 33% (p = 0.35). Seven percent of patients required percutaneous drainage of intra-abdominal collections. Enterocutaneous fistula developed in 31% of all patients and in 15% of those treated with vacuum dressings. Component separation fascial reconstruction was successful and uncomplicated in 83% of recipients compared with 25% of mesh repairs. Conclusion Laparostomy does not significantly reduce the mortality from the expected rate and commits the patient to a prolonged recovery with a high risk of enterocutaneous fistulation. Component separation fascial reconstruction has a better outcome than mesh repair.
Version
Submitted version
Date Issued
2010-10-06
Citation
Colorectal Dis, 2010
ISSN
1463-1318
Start Page
e20
End Page
e32
Journal / Book Title
Colorectal Dis
Copyright Statement
© 2010 The Authors. Colorectal Disease © 2010 The Association of Coloproctology of Great Britain and Ireland. The definitive version will be available at www.interscience.wiley.com
Identifier
http://www.ncbi.nlm.nih.gov/pubmed/21040361
Source Volume Number
13
Publication Status
Published